Endoscopic submucosal dissection in a population with a low incidence of gastric cancer

Czech version

Authors: Ondřej Urban ¹; Přemysl Falt ¹; Vincent Dansou Zoundjiekpon ¹; Daniela Škanderová ²; Daniela Kurfürstová ²; Dušan Klos ³
Authors‘ workplace: II. interní klinika – gastroenterologická a geriatrická LF UP a FN Olomouc 2 Ústav klinické a molekulární patologie LF UP a FN Olomouc 3 I. chirurgická klinika LF UP a FN Olomouc ¹
Published in: Gastroent Hepatol 2024; 78(3): 236-241
Category: Original Article
doi: https://doi.org/10.48095/ccgh2024236

Overview

Introduction: Gastric cancer is a serious disease with a decreasing incidence. In the treatment of its early stages, endoscopic methods, especially endoscopic submucosal dissection (ESD), are used significantly. Methods: We present the results of 64 consecutive ESD gastric lesions. We performed ESD using a conventional technique with a circular incision followed by submucosal dissection with the DualKnife tool. In cases of carcinomas, we assessed the outcome of ESD according to the eCura scoring system. Results: We achieved en bloc resection in 88% and R0 resection in 72%. Significant bleeding occurred in 8% and perforation in 3%; we managed all complications conservatively, where the lethal rate was zero. Of the 58 ESD neoplastic lesions, 42 (72%) were curative. We considered 6 (10%) patients for surgery after ESD, and it was performed in 2 (3%). Conclusion: In the conditions of a country with a low incidence of gastric cancer, we consider ESD to be a safe method with significant curative potential.

Keywords:

gastric cancer – endoscopic submucosal dissection – curative resection

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ORCID autorů

O. Urban 0000-0002-6705-7912,

P. Falt 0000-0001-8843-4716,

V. D. Zoundjiekpon 0000-0002-5673-3276

D. Skanderová 0009-0008-0641-5078,

D. Kurfürstová 0000-0002-3175-3131,

D. Klos 0000-0002-3097-4418.

Doručeno/Submitted: 18. 3. 2024

Přijato/Accepted: 5. 5. 2024

prof. MUDr. Ondřej Urban, Ph.D.

II. interní klinika – gastroenterologická a geriatrická

LF UP a FN Olomouc